Effect of Valsalva Maneuver in Attenuating Spinal Needle Puncture Pain

Authors

  • Haider Ali Khan, Arsalan Jamil, Zahid Aziz Soomro, Tahir Ali, M. Aneeque Alam Khan, Asim Javed

DOI:

https://doi.org/10.53350/pjmhs22165310

Keywords:

Pain, Elective lower limb surgery, Valsalva maneuver, Spinal anesthesia

Abstract

Objective: To compare the frequency of pain in patients undergoing elective lower limb surgery between valsalva maneuver versus control group during spinal anesthesia.
Study Design: Randomized controlled trial
Place and Duration of Study: Department of Anesthesia, Dow University of Health Sciences, Civil Hospital, Karachi from 1st June 2018 to 30th November 2018.
Methodology: All patients aged 25 to 50 years of either sex having ASA status I and II undergoing for surgery in sitting position under sub-arachnoid block through midline approach were taken as study participants. Randomization was done and divided in two groups; Group A were those who did not perform valsalva group B were those who perform valsalva. Puncture pain was assessed and measured by visual analogue scale in which 0 indicates no pain whereas, 10 is considered as most painful.
Results: The mean age was 39.76±8.43 years. There were 31 (51.7%) males and 29 (48.3%) females with body mass index in 21 (35%) have ≤25 kg/m2 and 39 (65%) have >25kg/m2. Mean VAS score was 4.27±2.09 and showed a significant association of pain between groups (p<0.001).
Conclusion: Pain was found significantly lower in patients undergoing elective lower limb surgery with valsalva maneuver during spinal anesthesia.

Downloads

How to Cite

Haider Ali Khan, Arsalan Jamil, Zahid Aziz Soomro, Tahir Ali, M. Aneeque Alam Khan, Asim Javed. (2022). Effect of Valsalva Maneuver in Attenuating Spinal Needle Puncture Pain. Pakistan Journal of Medical & Health Sciences, 16(05), 310. https://doi.org/10.53350/pjmhs22165310

Issue

Vol. 16 No. 05 (2022): Pakistan Journal of Medical & Health Sciences

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.